Perfectly attuned: our state-of-the-art
cardiac solutions. From diagnosis to therapy and follow-up, all medical technologies along the
clinical pathway are connected to build a smart network. Improve the outcome for the most important
person in the room: the patient.

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A perfect team: your clinical
environment supported by our innovative solutions for coronary artery disease. Together, they build
an integrated platform you can rely on for every patient. From routine cases to the most complex, we
support you in improving the outcome for every patient.

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How innovations in imaging can improve CTO procedures

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Professor Julinda Mehilli, MD, works in one of the largest cardiac centers in Germany. At
LMU
Munich’s Medical Center, she performs many complex procedures including CTO every year.
With
the help of syngo CTO Guidance, she can plan the procedure in more detail so that
everything runs smoothly.

Experiencing syngo CTO Guidance in clinical practice

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Professor Julinda Mehilli, MD, benefits in various ways from using syngo CTO
Guidance
during complex CTO procedures. Find out what she has to say about the advantages of the
software application for procedure planning, the intervention itself, and minimizing
X-ray
exposure.

High-sensitivity Troponin I Assays: A breakthrough in MI diagnosis

Thanks to high-sensitivity troponin I assays, new possibilities have emerged for quicker,
more accurate diagnoses of myocardial infarction (MI). We spoke to Peter Kavsak, PhD,
about
these high-sensitivity assays and their potential to significantly impact patient care
and
protocols.

Facilitating cardiac decision-making at the point of care

Chest pain is one of the most common presentations at Addenbrooke’s Hospital. To meet
this
need, the hospital opened a 24/7 laboratory within the emergency department, the first
hospital in the UK to enable rapid diagnosis of cardiovascular disease to quickly
determine
an appropriate therapy.

Treating complex chronic total occlusions

Many cath labs will not treat patients with complex CTOs interventionally given the
challenges of visualizing the anatomy around an occlusion. A case from University
Hospital
Erlangen shows how 3D imaging, coupled with advanced guidance software, helps to
overcome
such obstacles.

Planning with CT scans may improve outcomes in CTO PCI

Improvements in both technologies and techniques have led to an increase in the
procedural
success rates of PCI for CTOs. Furthermore, evidence is emerging that preprocedural
planning
with CT angiography may help to further improve the success rate of these
procedures.

Complex PCIs: The "number one" trend in coronary interventions

More and more complex PCI procedures are being performed. This article explores the
reasons
why, such as the findings of the SYNTAX study that showed equal clinical outcomes
between
surgery and PCI for certain subsets of patients.

Pushing frontiers with advanced imaging tools

Imaging has always been an important factor during PCI, but has become even more
important
given the increasing number of complex PCI procedures being performed. Find out more
about
the latest developments in imaging for procedure guidance in this article.

Perfectly orchestrated: our
integrated
solutions for structural heart disease. Manage complexity with efficient and automated workflows
for
accurate diagnostic assessment and device placement. Improve the outcome for every patient. Even
in
the most challenging cases.

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TAVI & TMViV guided by fusion imaging

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Watch the cardiology team at Heart Center Bonn as they perform a highly challenging
TAVI and a TMViV, guided by fusion imaging from CT-based planning and live
angiography, in a 74-year-old hemodialysis patient.

LAA closure with fusion of live angiography and TEE imaging

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At the Center for Cardiovascular Interventions Bonn, Germany, Professor Georg Nickenig
and
his team are performing more than 500 structural heart interventions per year. Find out
what
benefits they see in fusion of live angiography imaging and TEE in an example case of a
left
atrial appendage (LAA) closure.

High-end multimodality imaging for improved TAVI outcomes

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Watch Professor Stephan Achenbach, MD, and Martin Arnold, MD, in a procedure to treat an
87-year-old patient with severe aortic valve stenosis by implanting a transcatheter
aortic
valve prosthesis at University Hospital Erlangen and see how they integrate imaging.

Integrated imaging solutions for structural interventions

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Implanting a Lotus valve in a severely stenotic mitral valve

A 75-year-old woman presented with the primary complaint of severe dyspnea at rest to
Erasmus
Medical Center in Rotterdam. Find out how Nicolas van Mieghem, MD, diagnosed an
extensive
calcification of the mitral annulus and leaflets and see the steps he took for treatment
and
follow-up.

Crucial imaging support with 3D TEE in LAAC

Patients with atrial fibrillation who cannot take long‐term anticoagulants have
conventionally had few options for lowering their risk of stroke. Left atrial appendage
closure (LAAC) – supported by advanced imaging technologies and guidance software – is
an
attractive alternative for these patients.

A true understanding of the patient’s heart

Stéphane Lafitte, MD, ranks among the world’s most renowned researchers in the field of
echocardiography. When treating valvular diseases, real-time 3D volume color Doppler
imaging
provides Lafitte with information that can improve patient outcomes in cardiology.

Imaging is a vital part of a successful TAVI procedure

The global market for TAVI is expected to grow substantially and imaging will continue to
play a key role in the success of TAVI procedures. Multimodality and integrative imaging
approaches in particular are required to support increasingly complex,
minimally-invasive
structural heart interventions.

A perfect match: our arrhythmia
solutions ensure best-in-class integration with a great variety of third-party technologies.
Even
for complex procedures, smooth workflows are supported for enhanced patient outcomes.

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After suffering from frequent episodes of tachyarrhythmia for several years, a
52-year-old
male was hospitalized three times in just 12 months due to highly symptomatic, fast AF.
Find
out how Markus Stühlinger, MD, and Florian Hintringer, MD, approached the case.

Video: cryoballoon ablation for paroxysmal atrial fibrillation

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Do you want to find out more about the case from Innsbruck? Watch Markus Stühlinger, MD,
performing the ablations and find out what he did when the ablation of the right
superior
pulmonary vein was complicated by suspected phrenic nerve palsy.

Voice of the cardiologist: cryoballoon ablation for paroxysmal atrial fibrillation

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Don’t have time to watch the full video? See an excerpt where Markus Stühlinger, MD,
performs
ablation of the right superior pulmonary vein using a 3D overlay on live fluoroscopy.
Take a
look at his summary of the case.

Video: image-guided atrial fibrillation treatment

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Voice of the cardiologist: image-guided atrial fibrillation treatment

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Rotational angiography is very helpful in procedures using single-shot devices, says
Florian
Hintringer, MD. Corresponding features such as syngo LA Segmentation speed up the
clinical workflow while the overlay of a 3D model on a live fluoro image in one
procedure
brings added insights.

Perfectly personalized: our smart
solutions for congenital heart disease. Helping you to treat with ultra-low radiation doses.
Because
in the end, it’s essential to improve outcomes for the most vulnerable patients: our
children.

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A clear view inside tiny hearts

Martin Glöckler, MD, senior attending physician for pediatric cardiology at University
Hospital Erlangen, talks about the advantages of 3D visualization in congenital heart
disease interventions and for planning of pediatric heart surgery.

Touching young hearts

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Professor Sir Magdi Yacoub dreams of fighting the number one killer in the developing
world:
cardiovascular disease. He founded a medical center in Egypt with the aim of providing
high-quality healthcare to children in particular – free of charge. In 2016, a new
outpatient department was opened enabling vast expansion from ca. 3,000 outpatients to
almost 16,000 treated in one year. Minimally invasive cardiac interventions are also
growing
rapidly – up by over 25% from 1,600 in 2015 to 2,056 in 2016. Open heart surgery
continues
to be a major strength of the center with 828 interventions performed in 2016 – more
than
20% of which were on babies in first month of life.

The challenge of imaging small bodies

What is the most effective way to support high-quality, efficient pediatric
interventional
cardiology? For Seattle Children’s Hospital and Thomas Jones, MD, at least part of that
answer is high-quality imaging and continuous dose reduction.

Perfect support: our solutions for
congestive heart failure, from echocardiography and blood tests to managed health beyond the
cath
lab with IT and consulting services. We help institutions to create optimally standardized
structures for comprehensive heart failure care that enables better patient outcomes.

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Improving heart failure care

Heart failure is a common and debilitating medical condition. In the general population,
it
contributes to increasing rates of mortality, partly because people are living longer.
As
part of its Act on Heart Failure initiative, Siemens Healthineers offers a dedicated
consulting product for healthcare providers.

The statements by Siemens’ customers described herein are based on results that where achieved in the
customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital
size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the
same results.

On account of certain regional limitations of sales rights and service
availability, we cannot guarantee that all products mentioned are available through the Siemens sales
organization worldwide. Availability and packaging may vary by country and are subject to change without
prior notice.

The customers cited are employed by an institution that might provide Siemens
product reference services, R&D collaboration or other relationship for compensation pursuant to a
written agreement.